Mark Howard Email & Phone Number

Lansing, Mi, Us

Responsibilities:In my present position, I manage a diverse team of analysts responsible for risk adjustment plan creation and implementation, as well as performance monitoring. I give exceptional risk adjustment assistance, coaching, and mentoring to the team. It is worth noting that I collaborate with the team on career development and yearly team development goals. In collaboration with team members, I investigate and assess initiative and membership patterns/trends to establish program direction. Furthermore, I document and report to senior leadership and clients overall program performance outcomes and progress toward yearly objectives.Key Achievements: - While overseeing a team of 5-6 people, I directed risk adjustment programs for eight clients of various sizes and complexity. - All strategic risk adjustment estimated volumes for eight clients were met and launched timely. - Created fundamental strategy for three new customers and implemented risk adjustment programs in new marketplaces.

Southfield, Michigan

Responsibilities:During my time in this position, I was responsible for organizing the risk adjustment strategy for the Michigan Medicare Advantage business, which included reviewing previous years' performance, determining the quantity and timing of programs to meet financial targets, developing an annual risk adjustment strategy, monitoring progress toward set goals, and reporting/escalating any emerging issues to top-tier management. In an effective approach, I developed an annual risk adjustment plan and approach for BCBSM MA and BCNA. I also assessed outcome performance, risk adjustment program trends, membership/demographic trends, and opportunity and gap analyses. I used my demonstrated financial expertise and aided with the creation of an annual budget. I made major contributions to CMS bid formulation and revenue forecasts.Key Achievements: - Through the development of several dashboards, we were able to measure program success and use predictive modeling to assess the overall impact of program improvement and growth. - Oversaw and established successful tactics for Michigan's largest Medicare Advantage plan, which has over 500k members. - In charge of overseeing the whole implementation of the yearly strategy through regular collaboration with operational teams. - Over a five-year period, risk adjustment revenue increased by 20%.

Dimondale, Michigan

Responsibilities:I was the recognized resource for healthcare for the Office of Retirement Services. Using my diverse professional experience, I interviewed, mentored, and guided newly hired employees. I developed and implemented RFPs for a variety of healthcare contracts. In addition, I created and presented financial and enrollment-based reports for healthcare actuarial analyses, legislation upgrades, plan design changes, and director's office presentations. Contract compliance, end-to-end project coordination, vendor interactions, and strategic improvement were all provided by me. I was the driving force for the effective handling of all MPSERS healthcare-related contracts. To maximize overall efficiency, I investigated, reviewed, amended, and enhanced all ongoing processes and procedures.Key Achievements: - Medical inflation was reduced and YoY plan expense was kept at 1% by developing and implementing essential benefits plan design improvements. - Managed several vendor contracts for the State of Michigan Public School Employees Retirement System (MPSERS), which covers over 300,000 retirees. - As a subject matter expert, I was instrumental in the successful negotiation of new healthcare contracts and served on the selection committee for contracts worth a total of over $1.4 billion. - I supported the monthly financial reconciliation process for Medicare Advantage revenue of over $50 million a month

Lansing, Michigan Area

Responsibilities:In this role, I was responsible for contract monitoring for nine Retirement Plan vendor contracts, which included service level agreements. For MPSERS healthcare plans, I supported development of RFPs and new contracts, as well as amended and modified existing contracts. I developed and implemented different enrollment and eligibility procedures following current CMS regulations. I worked hard to streamline critical operations across our organization, working closely with other departments to find efficiencies and resolve roadblocks. In addition, I oversaw new vendor implementations from start to finish. Bi-weekly vendor work plan meetings were scheduled and organized by me.Key Accomplishments: - Contributed significantly to overall strategic planning and execution, with a key focus on preserving the plan's cost-effectiveness for members and schools sponsoring the retirement system. - Utilized great management abilities to manage multiple healthcare contracts for 300,000 Michigan Public School Employees Retirement System members. - Created and maintained a collaborative team atmosphere, as well as trained new employees.

Lansing, Michigan Area

- Discovered various incentives and strategies within the healthcare business geared at fulfilling yearly retirement system cost objectives. - Utilized powerful analytical tools to review claims data for Michigan Public School Employees Retirement System to monitor trends and member utilization patterns. - Investigated member issues/complaints to ensure proper use of Plan benefits.

B.A, English

Associate'S Degree, Computer Repair Technology